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General NPI Number Information
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NPI Number | 1699277061
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Entity Type | Individual
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Provider Name | SAHEEDAH MARIYAM HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 8420 SPECTRUM DR
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City | MCKINNEY
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State | TX
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Zip | 75072-5864
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Country | US
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Telephone | 940-441-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 8420 SPECTRUM DR
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City | MCKINNEY
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State | TX
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Zip | 75070-5864
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Country | US
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Telephone | 616-481-6041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 63946
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 63946
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License Number State | TX
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